INSIGHT has provided residential services  for over 45 years and when the local institution closed we made a commitment to support those with complex medical needs to live in our community.  Because Medicaid does not pay for all that is needed to support these individuals, we already have to secure additional funding to ensure their well-being.

We try to be good stewards of the funds entrusted to us and adding this requirement is another unfunded mandate.  With the system needing additional residential providers in some areas of the Commonwealth, this requirement will certainly discourage new providers.  

Projected revenue is missing from the new language and this should be considered in the review of the 90 days of operating budget.